Coding encephalopathy as principal diagnosis
[DOC File]New Jersey MEDICAID STATE PLAN - Government of New Jersey
https://info.5y1.org/coding-encephalopathy-as-principal-diagnosis_1_d29472.html
The same or similar principal diagnosis is defined as principal diagnoses with the same first three digits in accordance with the International Classification of Diseases, 9th Edition, Clinical Modification published by Practice Management Information Corporation.
[DOC File]ACDIS
https://info.5y1.org/coding-encephalopathy-as-principal-diagnosis_1_ffce5b.html
Metabolic encephalopathy was NOT used interchangeably with the term "confusion" within this record. Denial Letter #1: Metabolic encephalopathy as a secondary diagnosis. Pt had UTI, metabolic encephalopathy, and confusion. Appeal #1: Metabolic encephalopathy is not an integral component of a UTI.
[DOC File]The WHO ICD - Long version
https://info.5y1.org/coding-encephalopathy-as-principal-diagnosis_1_7cf513.html
Encephalopathy, unspecified is classified at G93.4. There is no such disease as ‘Myalgic Encephalopathy’ in ICD-10. The so-called ‘Fair Name’ campaign proposes that there should be a disease category ‘ME/CFS’; to be as inclusive as possible, the ‘ME’ part is to refer to either Myalgic Encephalomyelitis or Myalgic Encephalopathy.
[DOCX File]forums.acdis.org
https://info.5y1.org/coding-encephalopathy-as-principal-diagnosis_1_42cfdd.html
If toxic encephalopathy (encephalopathy due to drug) is sequenced as the principal diagnosis, metabolic encephalopathy as a secondary diagnosis will act as an MCC. The table below shows the coding and MS-DRG difference between FY 2020 and FY 2021.
[DOC File]Elsevier Coding Updates
https://info.5y1.org/coding-encephalopathy-as-principal-diagnosis_1_acf094.html
986, p,prostatic o.r. procedure unrelated to principal diagnosis w/o cc/mcc. 987, p,non-extensive o.r. proc unrelated to principal diagnosis w mcc. 988, p,non-extensive o.r. proc unrelated to principal diagnosis w cc. 989, p,non-extensive o.r. proc unrelated to principal diagnosis w/o cc/mcc. 998, ,principal diagnosis invalid as discharge diagnosis
[DOC File]ACDIS
https://info.5y1.org/coding-encephalopathy-as-principal-diagnosis_1_1aad85.html
The diagnosing (and subsequent coding) of your secondary diagnosis can only come from the attending physician’s diagnosis in the H&P and progress notes or from consulting physician’s diagnosis (consult and progress notes). Diagnosis codes can not be taken from: Physician’s orders e.g. “Chest x-ray in a.m. re: pleural effusion”.
[DOC File]Chapter 13 – Resources
https://info.5y1.org/coding-encephalopathy-as-principal-diagnosis_1_f37227.html
Encephalopathy Not Otherwise Specified (348.30) Fracture of vertebral column with spinal cord injury (806) General Category—include additional diagnosis from physician. Hemiplegia and hemiparesis (342.--) General Category--flaccid hemiplegia (342.0)--spastic hemiplegia (342.1)--other specified hemiplegia (342.8)--hemiplegia, unspecified (342.9)
Environment of Care
Principal Diagnosis: That condition established after study to have caused the patient’s admission to the hospital (Uniform Hospital Discharge Data Set) “Probable” or “Possible” conditions. Coding guidelines state that when a physician documents a condition as probable, possible, rule out, etc.
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